STAVONNIE S PATTERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

Title

First Name

STAVONNIE

Middle

Last Name

PATTERSON

Business Name

STAVONNIE S PATTERSON MD

Original Issue Date

07/27/2012

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023